Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,621.81 / $5,623.41	Facility		$177.83	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $331.13	Professional		$87.10	$169.82	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,041.74	Facility		$1,000.00	$1,445.44	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $309.03	Professional		$109.65	$181.97	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $331.13	Professional		$107.15	$186.21	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $870.96	Professional		$120.23	$263.03	$870.96
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $234.42	Professional		$114.82	$117.49	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,238.72 / $4,570.88	Facility		$812.83	$2,238.72	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $309.03	Professional		$100.00	$173.78	$309.03